Student Leadership Discovery (SLD) has my permission to use my photograph publically to promote the SLD mission. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. Name (this serves as a legally binding signature) * Name * First Name Last Name Date * MM DD YYYY Phone * (###) ### #### Thank you!